Organization · Type 2 NPI
Coastal Carolina Surgical Assoc
Vascular Surgery Physician · Beaufort, SC
NPI number
1831252477
Active
Practice location
1055 Ribaut Road, Suite 30
Beaufort, SC 29902-5447
Fax (843) 525-6613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | None listed |
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
About NPI 1831252477
Coastal Carolina Surgical Assoc's National Provider Identifier is 1831252477, issued on Dec 18, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Beaufort, SC. The record was last updated on Sep 11, 2025.